Stroke. 2002;33:1093-1100
doi: 10.1161/01.STR.0000014205.05597.45
(Stroke. 2002;33:1093.)
© 2002 American Heart Association, Inc.
Ischemia and Ischemic Tolerance Induction Differentially Regulate Protein Expression of GluR1, GluR2, and AMPA Receptor Binding Protein in the Gerbil Hippocampus
GluR2 (GluR-B) Reduction Does Not Predict Neuronal Death
Clemens Sommer, MD
Marika Kiessling, MD
From the Department of Neuropathology, Ruprecht-Karls University of Heidelberg (Germany).
Correspondence to Dr Clemens Sommer, Laboratory of Neuropathology, Department of Pathology, University of Ulm, Albert-Einstein-Allee 11, D-89081, Ulm, Germany. E-mail clemens.sommer{at}medizin.uni-ulm.de
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Abstract
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Background and Purpose Postischemic delayed neuronal
death (DND) of hippocampal CA1 neurons has been suggested to
occur as a result of formation of calcium-permeable

-amino-3-hydroxy-5-methyl-4-isoxazole
propionic acid (AMPA) receptors lacking the GluR2 subunit (GluR2
hypothesis). DND can be prevented by a short tolerance-inducing
ischemic period. The present study was designed to assess whether
postischemic protein levels of GluR2 predict neuronal death.
Additionally, the role of AMPA receptor binding protein (ABP)
was investigated with respect to neuronal death or survival.
Methods Postischemic protein expression of GluR1, GluR2, and ABP was analyzed in 3 experimental paradigms of transient global ischemia with the use of subunit-specific antisera and semiquantitative densitometric evaluation. Gerbils were subjected (1) to a 5-minute ischemic period resulting in DND of CA1 neurons; (2) to a 2.5-minute period of ischemia mediating tolerance induction; and (3) to 5 minutes of ischemia in the ischemia-tolerant state (2.5+5 minutes of ischemia 4 days apart).
Results The major finding was that GluR2 protein levels were significantly downregulated in neuronal subpopulations destined to survive, ie, in CA1 principal neurons after ischemic tolerance induction and in the ischemia-tolerant state, as well as in CA3 neurons after a 5-minute period of ischemia. ABP expression remained unaffected.
Conclusions Our results modify the GluR2 hypothesis in that postischemic GluR2 reduction also occurs in hippocampal CA1 and CA3 principal neurons without subsequent neuronal death. ABP is obviously not involved in mechanisms of DND or ischemic tolerance induction.
Key Words: brain ischemia immunohistochemistry ischemic preconditioning receptors, AMPA gerbils
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Introduction
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Transient cerebral forebrain ischemia of only 5 minutes
duration causes selective and delayed neuronal death (DND) of
hippocampal CA1 neurons in the gerbil brain.
1 These highly vulnerable
CA1 neurons can be protected against irreversible ischemic damage
by a preconditioning stimulus, eg, a short sublethal period
of ischemia.
24 The precise molecular mechanisms of both
phenomena, DND and endogenous neuroprotection of CA1, however,
are still under discussion. An increase of cytosolic free calcium
caused by neurotoxic activation of receptor- or voltage-operated
ion channels is thought to play a major role in DND.
5 Recent
experimental evidence points to an additional or alternative
zinc neurotoxicity after cerebral ischemia.
6 Since pharmacological
blockade of calcium-permeable
N-methyl-
D-aspartate (NMDA) receptors
does not prevent postischemic degeneration of CA1 neurons,
7,8 interest has focused increasingly on

-amino-3-hydroxy-5-methyl-4-isoxazole
propionic acid (AMPA) receptors, another major subtype of glutamate
receptors. Recent evidence suggests that AMPA receptors are
tetramers that can be assembled from 4 different subunits, GluR1
to GluR4 (GluR-A to GluR-D).
913 They are impermeable
to calcium ions as long as at least 1 GluR2 subunit in its edited
form is present.
1416 Previous work demonstrated that
GluR2 editing is not altered by global ischemia and is unlikely
to contribute to neuronal degeneration.
17,18 The observation
that 1 GluR2 subunit can determine the calcium permeability
of AMPA receptors in conjunction with a postischemic downregulation
of GluR2 mRNA levels at 24 hours led to the so-called GluR2
hypothesis, suggesting a contribution of calcium-permeable AMPA
receptors to DND.
1921
AMPA receptor binding protein (ABP) is a recently cloned novel component of the postsynaptic density22 that binds to the C termini of GluR2 and GluR3 subunits via PDZ domains and is involved in the regulation of AMPA receptor function by dynamically regulating postsynaptic localization and clustering of AMPA receptors.23,24 To address the question of whether ABP is also involved in mechanisms of DND or ischemic tolerance induction, interest in the present study also focused on a possible link between the kinetics of GluR2 protein expression and changes in ABP expression.
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Materials and Methods
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Animal Experiments
Experiments were performed on adult male Mongolian gerbils (
Meriones unguiculatus; weight, 70 to 80 g) obtained from Charles River
Deutschland (Sulzfeld, Germany). Animals had free access to
food and water before experiments. Gerbils were subjected to
transient forebrain ischemia by bilateral occlusion of the common
carotid artery. Ischemic tolerance was induced according to
the protocol of Kirino et al
4 with minor modifications.
25 Anesthesia
was achieved with a mixture of 30% O
2, 70% N
2O, and 1.5% halothane.
Three experimental groups of animals were investigated. One
group was subjected to a single 5-minute period of ischemia,
resulting in DND of CA1 neurons. The second group was subjected
to a single tolerance-inducing 2.5-minute period of ischemia,
and a third group was subjected to 5 minutes of ischemia in
the ischemia-tolerant state (2.5+5 minutes of ischemia 4 days
apart, a paradigm that results in survival of almost all CA1
neurons). Sham-operated control gerbils were subjected to anesthesia
and all surgical procedures, except clamping of the carotid
arteries. Animals were killed by transcardiac perfusion under
deep ether anesthesia. Heparin (90 IU) was given via the left
ventricle before washout of blood vessels with isotonic saline.
Brains were perfusion-fixed with 4% (wt/vol) paraformaldehyde
solution, removed, and postfixed overnight in the same fixative
before vibratome sectioning. Postischemic expression of GluR1
and GluR2 subunit protein was investigated in sham-operated
gerbils and in all experimental groups after recirculation intervals
of 8, 24, 48, and 96 hours (n=4 to 9). All procedures were performed
according to the guidelines of the German animal protection
law.
Neuropathological Evaluation
Neuronal cell densities within the hippocampal pyramidal layers were quantitatively assessed after labeling neurons with an antibody against the neuronal marker protein NeuN as previously described.26,27 Six groups of gerbils were investigated at 96 hours after sham procedure or reperfusion: untreated control gerbils (n=4), gerbils subjected to a single (n=5) or repetitive (n=3) sham operation, and gerbils subjected to 2.5 minutes (n=8), 2.5+5 minutes (n=4), or 5 minutes (n=6) of ischemia. Hippocampal subfields CA1 and CA3 of both hemispheres were scanned at a magnification of x300. Two sets of 3 adjacent regions per area (strictly localized within the pyramidal cell layer of CA1 or CA3) per hemisphere were recorded, averaged, and expressed as mean cell number per square millimeter (neuronal density). All data were statistically analyzed with the use of the general statistics module of Analyze-it for Microsoft Excel (Analyze-it Software, Ltd). Values were expressed as mean±SEM. Significant group effects were confirmed by ANOVA and Bonferroni error protection with a significance level at P<0.05.
Immunohistochemistry
Immunohistochemistry was performed with antibodies against GluR1 protein (obtained from Chemicon International Inc), GluR2 protein (kindly provided by R. Wenthold), and ABP (kindly provided by E.B. Ziff), which were generated in rabbits immunized with bacterially expressed fusion proteins.22,2830 All antibodies used are well characterized, and the specificity of antisera has been previously demonstrated.22,2830 Immunohistochemistry was performed on coronal free-floating 50-µm vibratome sections. After pretreatment with methanol 70%/1% H2O2 for 20 minutes, free aldehyde moieties were blocked by a 10 minutes of incubation in PBS/0.4% borohydride. Then sections were incubated in normal swine serum (10% in PBS) for 30 minutes, followed by the primary antisera for 72 hours at 4°C. The primary antibodies were diluted 1:100 (GluR1), 1:200 (GluR2), and 1:250 (ABP). Then slices were washed with PBS and 0.2% Triton X-100, followed by an incubation period of 30 minutes at room temperature with a secondary biotinylated anti-rabbit IgG antibody. After a rinse with PBS and 0.2% Triton X-100, immunoreactivity was visualized by the avidin-biotin complex method (Vectastain, Vector Laboratories). Sections were developed in 0.02% diaminobenzidine with 0.02% hydrogen peroxide. The reaction product was intensified by addition of 0.02% cobalt chloride and nickel ammonium sulfate. Omitting the primary antisera in a subset of control slides resulted in no immunostaining (not shown).
For semiquantitative analysis of receptor protein expression, hippocampi were investigated by optical densitometry as previously described26 with minor modifications.31 All sections were examined at a final magnification of x40 with a Zeiss Axiophot microscope. Images were scanned in equal light conditions with a DMC video camera (Polaroid). From hippocampal subfields CA1 and CA3, 4 regions of interest (ROI) in the pyramidal layer (GluR1 and GluR2) or in dendritic layers (ABP), respectively, were selected on the monitor. ROIs were rectangular areas of 0.01 mm2 (0.05x0.2 mm). Optical density of immunoreactivity within the ROIs was automatically determined with AIS imaging research software (Imaging Research Inc). The optical density of the corpus callosum was used as reference value for background staining (ODUSP) and subtracted from total optical density in the ROI (ODTOT), resulting in specific optical density (ODSP). Specific immunolabeling was calculated as the ratio ODSP/ODTOT. Values (in percentages) are expressed as mean±SEM. Statistical analysis was performed with the use of the general statistics module of Analyze-it for Microsoft Excel (Analyze-it Software, Ltd). Significant group effects were confirmed by ANOVA and Bonferroni error protection with a significance level at P<0.05.
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Results
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Neuropathological Evaluation
Immunohistochemical analysis of NeuN-stained neurons in hippocampal
subfields CA1 and CA3 revealed no significant differences between
untreated control gerbils and gerbils subjected to a single
or repetitive sham operation in both CA1 and CA3 (
Table). A
single 5-minute period of ischemia caused a significant reduction
of neuronal cell density in the hippocampal CA1 subfield to
25% at 96 hours after reperfusion compared with sham-operated
gerbils, whereas CA3 was unaffected (
Table). Both a single tolerance-inducing
2.5-minute period of ischemia and a 5-minute period of ischemia
in the ischemia-tolerant state led to focal neuronal loss in
CA1 of some animals (not shown). This, however, did not result
in a significant reduction of neuronal cell density in these
experimental groups (
Table). Again, CA3 remained unaffected
(
Table).
Immunohistochemistry (GluR1, GluR2, and ABP)
Five Minutes of Ischemia
Prominent immunoreactivity for both GluR1 and GluR2 was present in the pyramidal layers of hippocampal subfields CA1 and CA3 in sham-operated gerbils (Figure 1). In CA1, GluR1 immunoreactivity was unchanged up to 48 hours of reperfusion and became restricted to a few scattered surviving interneurons at 96 hours (Figures 1 and 2). GluR1 immunoreactivity in CA3 remained unchanged at all time points investigated (Figures 1 and 2). Immunostaining for GluR2 in CA1 continuously decreased after ischemia, reaching significance at 48 and 96 hours. However, GluR2 immunoreactivity was not completely abolished 96 hours after reperfusion and yet was detectable in damaged shrunken CA1 neurons. In CA3, GluR2 immunoreactivity was significantly reduced between 8 and 48 hours, reattaining control levels at 96 hours after recirculation (Figures 1 and 2).

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Figure 1. Hippocampal immunostaining for GluR1 (left), GluR2 (middle), and ABP (right) after a single 5-minute period of ischemia. In sham-operated control animals (Co), strongest immunoreactivity is present for GluR1 and GluR2 in the pyramidal layer of CA1 and CA3, whereas ABP immunoreactivity is accentuated in dendritic layers. Ninety-six hours after recirculation, GluR1 immunoreactivity in CA1 is restricted to scattered surviving interneurons but is unchanged in CA3. GluR2 immunoreactivity in CA1 continuously (see Figure 2) decreases after ischemia. Note that in CA3 neurons destined to survive, a marked decline of GluR2 immunoreactivity is evident at 8 and 48 hours, indicating that reduced GluR2 levels are not invariably associated with postischemic cell death. A reduction of ABP immunoreactivity is first detectable in CA1 at 96 hours after reperfusion in conjunction with neuronal death. Bar=500 µm.
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Figure 2. Semiquantitative assessment of postischemic hippocampal GluR1, GluR2, and ABP immunoreactivity in various experimental paradigms. After a single 5-minute period of ischemia, GluR2 immunoreactivity is progressively reduced in CA1 compared with GluR1 and ABP but first reaches significance immediately before DND (a). In CA3, GluR2 immunoreactivity is significantly decreased between 8 and 48 hours but has nearly reattained control values at 96 hours (b). A single 2.5-minute tolerance-inducing ischemia significantly and selectively reduces GluR2 immunoreactivity in CA1 after 24 hours (c), whereas GluR1 and ABP are unaffected in both CA1 (c) and CA3 (d). Similarly, in the ischemia-tolerant state, GluR2 is transiently reduced at 8 hours (e), whereas GluR1 is nonsignificantly decreased and ABP remains unchanged in CA1 (e) and CA3 (f). OD-sp indicates specific optical density; OD-tot, total optical density. *Significant (P<0.05, ANOVA and Bonferroni error protection).
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In sham-operated gerbils, ABP immunoreactivity in CA1 and CA3 was only weak in the pyramidal layer but was prominent in dendritic layers (Figure 1). Postischemic ABP immunoreactivity in CA1 was unaffected up to 48 hours after reperfusion but was significantly reduced at 96 hours (Figures 1 and 2). In CA3, no significant alterations of ABP protein expression were detectable (Figures 1 and 2).
Tolerance-Inducing Ischemia (2.5 Minutes)
Again, in sham-operated gerbils GluR1 immunoreactivity (not shown) and GluR2 immunoreactivity were prominent in neurons of the pyramidal layers of hippocampal subfields CA1 and CA3. A single 2.5-minute period of ischemia caused no alterations of the GluR1 immunoreactivity pattern in both CA1 and CA3 (Figure 2). GluR2 immunoreactivity in CA1, however, was transiently but significantly reduced at 24 hours (Figures 2 and 3). At 96 hours after reperfusion, GluR2 levels corresponded to those of sham-operated animals (Figures 2 and 3). Staining intensity of GluR2 immunoreactivity in CA3 was slightly but not significantly reduced between 24 and 96 hours (Figures 2 and 3).

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Figure 3. Hippocampal immunostaining for postischemic GluR2 and ABP immunoreactivity after a tolerance-inducing 2.5-minute ischemic period. After tolerance induction, GluR2 immunoreactivity (left) in CA1 is transiently reduced at 24 hours. In CA3, a moderate but nonsignificant reduction is evident at 24 hours (see Figure 2). Note that ABP immunoreactivity (right) is unchanged at all time points investigated. Bar=500 µm.
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ABP protein expression after a tolerance-inducing period of ischemia was not significantly altered in CA1 and CA3 at all time points investigated (Figures 2 and 3).
Five Minutes of Ischemia in the Ischemia-Tolerant State (2.5+5 Minutes of Ischemia 4 Days Apart)
In gerbils subjected to repetitive sham operation, the staining pattern and intensity for GluR1 and GluR2 corresponded to those of gerbils subjected to a single sham operation (not shown). GluR1 immunoreactivity in both CA1 and CA3 exhibited no significant alterations at all time points investigated (Figure 2). GluR2 immunoreactivity, however, showed a significant reduction at 8 hours in CA1 and was only slightly but nonsignificantly decreased at 8 and 24 hours in CA3 (Figures 2 and 4).

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Figure 4. Hippocampal immunostaining for postischemic GluR2 and ABP immunoreactivity in the ischemia-tolerant state (2.5+5 minutes of ischemia). GluR2 immunoreactivity (left) in CA1 is markedly reduced at 8 hours of reperfusion. Note that in this and the previous ischemic paradigm (see Figure 3), severe GluR2 reduction is not followed by neuronal death (see Table). ABP immunoreactivity (right) is unchanged during the observation period, suggesting that GluR2 reduction occurs independently from its anchoring protein ABP. Co indicates control. Bar=500 µm.
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As after the preconditioning ischemic period, ABP immunoreactivity in the ischemia-tolerant state was unchanged in CA1 and CA3 at all time points investigated (Figures 2 and 4).
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Discussion
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Our study corroborates the GluR2 hypothesis in that, compared
with GluR1, a 5-minute period of global ischemia severe enough
to cause DND of CA1 pyramidal cells was associated with a continuous
and selective decrease of GluR2 protein expression, which first
reached significance at 48 hours after recirculation. This is
a remarkable finding for several reasons. (1) In situ hybridization
studies addressing postischemic GluR2 expression in CA1 yielded
contradictory results: 4 studies showed a preferential decline
of GluR2 mRNA in highly vulnerable CA1 neurons,
19,20,32,33 whereas
3 other studies observed an unchanged ratio between the mRNAs
encoding GluR1 and GluR2 subunits.
3436 (2) In contrast
to global cerebral ischemia in rats with at least partially
maintained postischemic protein synthesis in vulnerable CA1
neurons,
37 total protein synthesis in the gerbil model of transient
cerebral ischemia is almost completely and irreversibly inhibited
in CA1.
38,39 Despite this overall protein synthesis failure,
however, heat shock protein 72 mRNA has been shown to be preferentially
translated in postischemic gerbil hippocampal CA1 sector.
40 Nevertheless, the translational deficit in CA1 neurons may have
a profound impact on the respective protein expression pattern,
and mRNA data alone do not predict postischemic abundance of
a particular encoded protein. (3) On the protein level, Optiz
and colleagues,
41 using the same antibody as in the present
study, first detected reduced postischemic GluR2 expression
in CA1 neurons at 72 hours of reperfusion immunohistochemically
and at 60 hours in microdissected CA1 sectors by immunoblotting.
These data are somewhat at variance with our results. Ischemic
damage of medial CA1 principal neurons precedes that of lateral
pyramidal cells and frequently already manifests morphologically
at 72 hours after reperfusion.
42 At the same time point, nuclear
DNA fragmentation is also detectable in the medial part of CA1.
43 Thus, in agreement with these observations, 72 hours seems to
be a critical time point beyond the threshold for incipient
evidence of neuronal degeneration.
The validity of the GluR2 hypothesis has meanwhile been restricted by the original proponents to specific neuronal subpopulations. GluR2 knockdown experiments by antisense treatment led to a reduction of GluR2 in granule cells of the dentate gyrus but did not trigger granule cell degeneration, whereas neurons of CA1 and to a lesser extent neurons of CA3 underwent cell death,44 thus indicating a different sensitivity of neuronal subpopulations to GluR2 downregulation. Our present findings modify the GluR2 hypothesis in that diminished abundance of the GluR2 subunit in CA3 neurons after ischemia of 5 minutes duration (Figures 1 and 2) and even in the same neuronal subpopulation, ie, hippocampal CA1 neurons (at 24 hours after a single 2.5-minute period of ischemia and at 8 hours in the ischemic tolerant state), is not necessarily followed by cell death (Figures 2, 3, and 4). Similarly, Friedman and colleagues,36 using the rat model of global cerebral ischemia, recently demonstrated that postischemic hypothermia does not prevent reduction of GluR2 expression in CA1 seen in normothermic animals but results in survival of vulnerable CA1 neurons 7 days after reperfusion. Kjøller and Diemer45 analyzed postischemic GluR2 protein synthesis in the rat using Western blots and a pulse-labeling approach and also detected a significant decrease of the GluR2 synthesis rate at 24 hours in vulnerable CA1 and resistant CA3 and dentate gyrus neurons. These findings corroborate our data, strongly suggesting that significantly reduced GluR2 levels are not predictive of DND in general.
Further evidence against a direct causal relationship between lack of GluR2 and neuronal death comes from experiments with transgenic animals. The GluR2(-/-) mouse is viable and has a normal complement of CA1 and CA3 neurons. Moreover, there is no evidence of neuronal degeneration in the entire central nervous system, although calcium permeability of AMPA receptors is increased up to 9-fold.46 Mice with different levels of unedited GluR2 exhibit neurological abnormalities depending on the expression levels of the allele, but no direct neurotoxic effects are detectable.47,48 In addition, hippocampal GABAergic interneurons (physiologically lacking GluR2 subunits) also do not spontaneously degenerate.49,50 According to the GluR2 hypothesis, these neurons survive because they permanently express calcium-permeable AMPA receptors, whereas only neurons that suddenly have to cope with a high calcium influx through GluR2 lacking AMPA receptors undergo cell death. However, a recent study by Tóth and McBain51 demonstrated that interneurons of the stratum lucidum constitutively possess calcium-permeable AMPA receptors but still die after transient ischemia or kainate-induced seizures.52,53 In general, the notion that postischemic calcium influx through ion- or voltage-gated calcium channels with a concomitant increase of cytosolic free calcium inevitably results in irreversible cell damage has been reexamined: Recent in vitro work indicates that depletion of endoplasmic reticulum calcium stores and/or elevated calcium uptake in mitochondria may cause neuronal death, irrespective of free cytosolic calcium concentration.5456
In regard to the regulation of AMPA receptor subunit expression after a preconditioning ischemic stimulus, to our knowledge there are only 3 studies, all from the laboratory of Diemer.35,45,57 Using in situ hybridization, these authors demonstrated that postischemic GluR2 expression in hippocampal CA1 neurons remains unchanged, whereas quantitative polymerase chain reaction analysis yielded a significant upregulation of GluR2 mRNA.35 The different PCR results are explained by polyadenylation of preexisting GluR2 mRNA, which in turn is thought to enhance synthesis of GluR2 protein,57 as reflected by a significant increase of GluR2 protein expression at 24 hours after preconditioning in microdissected CA1 regions assessed by immunoblotting.45 It cannot be excluded that the discrepancy with our immunohistochemical data, demonstrating reduced GluR2 protein expression in CA1 at 24 hours after tolerance induction (Figures 2 and 3), is due to an interspecies variation. More importantly, however, immunolabeling experiments by Western blotting do not distinguish between neuronal and nonneuronal GluR2 protein. In vitro, hippocampal astrocytes show GluR2 immunoreactivity,58 which may contribute to total GluR2 abundance in immunoblots. Moreover, homogenates do not reflect GluR2 subunit abundance of individual cells. To clarify this point, further experiments using in situ detection methods of GluR2 protein expression need to be performed in the preconditioned rat hippocampus.
In recent years, much effort was spent on the elucidation of the postsynaptic organization of excitatory synapses. A number of novel proteins of the postsynaptic density have been identified that interact with the C terminus of glutamate receptors, thereby controlling synaptic localization of these receptors. Two proteins have been demonstrated to interact specifically with GluR2/3 subunits of AMPA receptors: ABP22 and glutamate receptor interacting protein (GRIP).59 Since ABP and GRIP are essential for maintaining the synaptic surface accumulation of AMPA receptors,23 the persistence of normal ABP protein levels at different reperfusion intervals in different experimental paradigms of global ischemia despite reduced GluR2 levels indicates that a postischemic decrease of GluR2 expression is not related to a loss of its "anchoring" protein, ABP. The absence of changes in the postischemic expression of ABP, except in conjunction with DND, argues against a causal role of this protein for neuronal death or survival. Further investigations are necessary to pinpoint the mechanisms of GluR2 downregulation.
In conclusion, in agreement with the GluR2 hypothesis, our data demonstrate that CA1 neurons destined to die after global ischemia of 5 minutes duration exhibit reduced levels of GluR2 protein expression immediately before cell death. However, postischemic GluR2 protein levels were also substantially and significantly reduced in neuronal subpopulations destined to survive (in CA3 neurons after 5 minutes of ischemia and in CA1 neurons after induction of ischemic tolerance and in the ischemia-tolerant state), thus further restricting and modifying the GluR2 hypothesis. ABP, a novel AMPA receptor anchoring protein, appears to be unrelated to postischemic neuronal death or survival.
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Acknowledgments
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This work was supported by a grant of the Deutsche Forschungsgemeinschaft
(SFB 317). The authors would like to thank Robert J. Wenthold
(Laboratory of Neurochemistry, National Institute on Deafness
and Other Communication Disorders, National Institutes of Health,
Bethesda, Md) and Edward B. Ziff (Howard Hughes Medical Institute,
Department of Biochemistry, New York University Medical Center,
New York, NY) for kindly providing the GluR2 and ABP antiserum,
respectively. The authors acknowledge the excellent technical
assistance of Stephan Hennes.
Received February 28, 2001;
revision received August 1, 2001;
accepted August 6, 2001.
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